Recorded presentation

Paul Parker, MPH, Maryland Health Care Commission, 4521 Canterbury Road, Baltimore, MD 21215, 301-7643261, peparker9@aol.com

Examples of recent activities highlighting evidence-based health services planning and integration of public and private planning efforts. Topic areas include:

o The work of the Advisory Committee on Outcome Assessment in Cardiovascular Care. This is a long-term effort establishing state policy on the development and use of cardiovascular care outcomes data and, recently, the diffusion of interventional cardiology services in Maryland.

o Evolving regulatory policies for hospital bed supply. Maryland implemented a “dynamic” bed licensure policy in 1999 as a response to overcapacity in the acute care hospital sector. It is now in the process of updating its regulatory policies in response to growing hospital census throughout the state and rethinking the appropriate relationship between health planning, CON regulation, and facilities licensure.

o Deregulation and understanding its consequences. Focus areas would be 1) ambulatory surgery, where regulatory policies governing the supply of freestanding ambulatory surgery centers have created a unique surgical landscape in Maryland; 2) inpatient obstetric services, in which recent changes in regulatory policy shift the state from a command and control position with respect to program supply and capacity to a position of open evaluation of community benefit analyses; 3) diagnostic imaging. This is a sector deregulated in Maryland in the 1980s. What can be learned from comparing the development of this sector in Maryland with states that have maintained varying levels of regulatory control?

Learning Objectives: Participants (attendees) will

(
• become more familiar with the value of systematic population-based health services planning; (
• understand how to translate evolving policy considerations into practical planning and regulatory practices; and (
• learn how the relative effectiveness of a given planning method or technique is measured and assessed

Keywords: Policy/Policy Development,

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation